Individual
JENNIFER L WEIDNER-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
Mailing address
1839 FAIR AVE, HONESDALE, PA 18431-2121
(570) 251-6500
(570) 253-8174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050620
PA
Other
Enumeration date
05/19/2006
Last updated
11/03/2010
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